How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $9.12 Median $18.62 Typical High $20.42 | Facility | None | $9.12 | $18.62 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $10.00 Typical High $10.72 | Professional | None | $8.71 | $10.00 | $10.72 |
BCBS Kansas Setting Facility Modifier None Typical Low $43.65 Median $45.71 Typical High $69.18 | Facility | None | $43.65 | $45.71 | $69.18 |
BCBS Kansas Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $11.22 Typical High $22.91 | Facility | None | $6.61 | $11.22 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $19.95 Typical High $52.48 | Professional | None | $4.79 | $19.95 | $52.48 |
Medica Setting Facility Modifier None Typical Low $7.41 Median $10.72 Typical High $17.78 | Facility | None | $7.41 | $10.72 | $17.78 |
Medica Setting Professional Modifier None Typical Low $4.27 Median $6.03 Typical High $15.85 | Professional | None | $4.27 | $6.03 | $15.85 |
United Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $10.00 | Facility | None | $6.03 | $6.03 | $10.00 |
United Setting Professional Modifier None Typical Low $4.27 Median $6.03 Typical High $15.85 | Professional | None | $4.27 | $6.03 | $15.85 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $5.01 Typical High $5.37 | Professional | 52 · Reduced service | $4.37 | $5.01 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $2.04 Typical High $2.14 | Professional | 53 · Discontinued | $1.74 | $2.04 | $2.14 |
Where Kansas sits
The same service costs 5.4 times more in Kansas than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kansas· 1st of 51
$34.67
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.